| NPI | 1659173649 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLEAMON MOORER Authorized Official 313-740-9716 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
| Enumeration Date | 2025-03-27 |
| Last Update Date | 2025-03-27 |